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OMS Frameworks ©️ Arthritis and Infection Quiz
Which of these are key features in the acute management of this patients (Step 5)? (Choose 2)
A
Anlagesia
B
Rinse the wound with normal saline in the ward
C
Empirical Antibiotics
D
Prophylactic Antibiotics
E
Stop all diabetic medications
Patient just underwent this procedure. What are the key features of post-operative management? (You can choose more than 1 option)
A
Empirical Antibiotics
B
Knee aspiration
C
Wheel chair mobilization
D
Prophylactic Antibiotics
E
DVT Prophylaxis
What does "mechanical pain" mean?
A
Pain that gets better after warming up
B
Pain that is worse after prolonged rest
C
Pain that is better with stair climbing
D
Pain that resolves with analgesia
E
Pain that is worse on movement
Which of these conditions should NOT present with inflammatory type pain?
A
Patella tendonintis
B
Plantar Fasciitis
C
Ankle Osteoarthritis
D
Rheumatoid Arthritis
E
Ankylosing Spondylitis
Which of these statements are true about neurogenic claudication?
A
Pain is better when patients walks uphill
B
Pain is better when spine is extended
C
Pain gets better with patient resting while standing
D
Pulses should be well felt
E
Pain is better when leg is in a dependant position
What is the utility of a knee aspiration (knee tap) in a patient with an acutely swollen knee with fever?
A
Diagnostic and Therapeutic
B
For better imaging as the fluid can cast a shadow
C
Prevent infection
D
Reduces swelling only
E
Inject antibiotics at the same time
What is the main difference between skin grafts and skin flaps?
A
Skin grafts are ideal for areas with exposed bone
B
Skin flaps have its own blood supply
C
Skin flaps contract more
D
Skin grafts are technically more challenging
E
Skin grafts are ideal over joints as they contract less
Patient with knee pain sees you for the FIRST time in the clinic. How will you manage this patient with this XR?
A
Non operative with pharmacological and non pharmacological interventions
B
Intra-articular injection
C
Total Knee Replacement
D
Uni-compartmental Knee Replacement
E
High tibial Osteotomy
Patient has been referred to you for severe pain in the right lower limb with fever. What will you do next?
A
Stabilize and refer senior immediately, consideration for immediate fasiectomy
B
Discharge patient as this is common bruising
C
Inform them that you will review tomorrow
D
Withhold antibitoics to increase culture yield
E
Request for MRI scan
What will you indicate in the notes for a patient after a knee aspiration?
A
"NBM until crystals results out"
B
"Allow diet of choice"
C
"NBM until fluid cultures results out"
D
"Soft Diet"
E
"NBM until Gram stain and cell count results out"
What is the role of "negative pressure dressings" or "vacuum dressing" in orthopaedics?
A
Helps in fracture healing
B
Useful for patients living in high altitude
C
Negative pressure provides a low oxygen environment
D
Prevent keloid formation
E
Aids in secondary wound healing or for temporary wound dressing
Patient underwent incision and drainage of an abscess. What kind of antibiotics may you potentially change to after the surgery?
A
Empirical Antibiotics
B
Prophylactic Antibiotics
C
Culture directed Antibiotics
D
Nosocomial Antibiotics
E
Iatrogenic Antibiotics
Which is the most common causative organism for septic arthritis?
A
Salmonella
B
Staphylococcus Aureus
C
Streptococcus
D
Neisseria gonorrhea
E
Fungus
How will you prevent deep vein thrombosis in a patient after this surgery? (Choose 3)
A
Incentive Spirometry
B
Straight Leg Raises
C
Calf pumps
D
Vein Stripping
E
Early mobilization
F
Pharmacological methods - Aspirin, Clexane
❌ Wrong Answer. Try again.